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Dajiana Tisby

NPI 1619689585 · on the registry since 2022 · sole proprietor

Practice

Address
222 Timber Dr
Princeton, TX 75407
Phone
(469) 748-8014

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas